NPI | 1003822107 |
---|---|
Other Name | KATRINA I BANOWETZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231HA2500X Audiologist, Assistive Technology Supplier (Licence: IL 147.001323) |
Additional Taxonomies | 231H00000X Audiologist (Licence: SC 3412) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2014-11-19 |